Soft elastic yellow color swelling in cheek/tongue

Histology:

• Aggregates of adipocytes enclosed in fibrous tissue
• Pale staining hexagonal cells, nuclei pushed to one side

Fat cells histologically similar to normal fat cells but metabolically different as fat not lost from lipoma on starvation

Clinical:

• Slow growing
• Mobile
• Painless
• Yellow
• Sessile/pedunculated
• Single/multiple lesions over subcutaneous tissue of limbs and trunk

Site:

• Buccal sulcus
• Floor of mouth
• Lips
• Cheek
• Tongue

Diagnosis:

• Biopsy
• MRI
• CT
• Ultrasound

Management:

• Surgical removal
• Liposuction

Picture

Oral pictures

Fibrolipoma

• Common in adults
• Proximal to buccal fat pad
• Possible origin: Embryonic fat cells

Histology: Adipocytes in fibrous locules

Picture